Given the importance of high adherence to long-term pharmacotherapy and the growing need to improve medication adherence, choosing the best intervention represents a challenge for healthcare providers. A dose-dispensing service is defined as the repackaging of solid oral medication into dose-dispensing aids by a healthcare provider, mostly in a community pharmacy or hospital pharmacy, in order to assist patients in the management of their polymedication. The personalized dose-dispensing aid organizes individual oral doses according to their prescribed intake schedule throughout the day and the week. This review aims to describe the pros and cons of different dose-dispensing services and technologies, summarizes current evidence and addresses research gaps.
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http://dx.doi.org/10.1586/17512433.2013.811829 | DOI Listing |
Scand J Caring Sci
March 2025
Faculty of Health Science, University of the Faroe Islands, Vestarabryggja 15, Tórshavn, Faroe Islands.
Background: Currently, people generally live longer, and consequently, the number of older people experiencing periods of multimorbidity and the need for medication will increase. Managing multiple medications can be a complex and challenging task, especially for older people who may experience a decline in their cognitive and physical abilities. The aim of this study was to gather knowledge on how home-dwelling people who are 90 years or older manage their daily medication, what strategies they use, and what challenges they experience regarding medication.
View Article and Find Full Text PDFMultidose drug dispensing (MDD) is the dispensing of different drugs in dose bags containing one, some, or all units of medicine that a patient needs to take at specific times. The aim of this narrative review is to provide an overview of the literature describing the use of MDD systems in community healthcare settings in patients with multimorbidity and polypharmacy. A literature search identified 14 studies examining adherence, medication knowledge, quality of drug prescription (including inappropriate drug use, drug-drug interactions), medication incidents, and drug changes after MDD initiation, as well as healthcare professional (HCP) and patient perspectives.
View Article and Find Full Text PDFBMC Health Serv Res
September 2024
Stockholm School of Economics in Riga, Strēlnieku iela 4a, Rīga, LV-1010, Latvia.
Background: The aim of this study is to assess the cost savings from medication reviews conducted for individuals living in nursing homes in Estonia. Medication reviews performed as part of the automated dose dispensing (ADD) service by community pharmacies might help identify suboptimal medicine regimens.
Methods: We use a case study approach to identify suboptimal use of medication in treatment plans and estimate the potential cost saving from medication reviews.
Waste Manag
December 2024
Finnish Environment Institute, Circular Economy Solutions Unit, Latokartanonkaari 11 00790, Helsinki, Finland. Electronic address:
Basic Clin Pharmacol Toxicol
October 2024
Department of Clinical Pharmacology, Odense University Hospital, Odense, Denmark.
The healthcare sector is a major contributor of greenhouse gas emissions, and reduction and proper sorting of healthcare waste is essential to achieve sustainable healthcare. This study aimed to characterize the quantity and composition of pharmaceutical waste from a major Danish hospital. Pharmaceutical waste was collected from Odense University Hospital, including departments located in both Odense and Svendborg.
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